A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

The client will exercise for 30 min each day.

The client provides a list of exercises that they are interested in.

The client will exercise daily for the next 2 weeks.

The client will share their exercise log with an identified support person.

Answer and Explanation

The Correct Answer is D

D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.

A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.

B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.

C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.

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Correct Answer is B

Explanation

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

A. Reinforce the importance of eating a well-balanced diet. B. Recommend the client be screened for Hepatitis B. C. Inform the client about needle exchange programs. D. Provide information on drug rehabilitation facilities since the client has expressed interest

Correct Answer is D

Explanation

D Tertiary prevention aims to minimize the impact of an existing illness or condition and prevent further complications or recurrence. In the context of substance use disorder, providing information on drug rehabilitation facilities aligns with tertiary prevention strategies.

A. This intervention is more aligned with primary or secondary prevention strategies aimed at preventing substance use disorder or addressing risk factors before the onset of the disorder. B This intervention is focused on screening for a potential complication or comorbidity associated with substance use disorder rather than providing treatment or support for the disorder itself.

C- Secondary prevention

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A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

Correct Answer is B

Explanation

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following Interventions is an example of a tertiary intervention strategy for this client?

Correct Answer is D

Explanation

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A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

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